UNIVERSITY OF ALABAMA AT BIRMINGHAM SCHOOL OF HEALTH PROFESSIONS POLICY BRIEF PROPOSAL TO MAKE ELECTRONIC MEDICAL RECORDS EASIER FOR PATIENTS AND OTHER PROVIDERS TO ACCESS MARY ZEIGLER PREPARED FOR: JUNE 2015 AHS 530: HEALTHCARE DELIVERY AND REIMBURSEMENT BRYAN K BRELAND SUMMER 2014 GOAL STATEMENT The goal of this statement is to support Stage 3 Meaningful Use, which will allow patients to more readily access their health records, involve providers in more active exchange of information, allow patients to contact their providers more readily through electronic means, and allow for better coordination of care between providers. SCOPE OF THE PROBLEM Currently, it is difficult for patients to access their health …show more content…
Congress poured billions into EMR adoption, going so far as to budgeting “[…] $30 billion in incentives to stimulate the adoption and meaningful use of electronic health records (EHRs) by eligible professionals and hospitals” in 2009 (Adler-Milstein, 2011). As technology becomes ever more ingrained in society, EMR use continues to grow. PRESENT STATUS OF THE PROBLEM The focus on EMR utilization persists today in the legislation proposed by the Centers for Medicare and Medicaid Services (CMS) to improve meaningful use of EMR systems. The comment period for Stage 3 of the meaningful use proposal ended June 2015. However, many are hopeful that the improvement of EMR use will not stop there. EMR use should not be limited to each individual physician office but instead should be accessible to patients in an easily accessible format. Currently, it is difficult for patients to become fully involved in their healthcare because it is difficult to access healthcare records and healthcare records are not consolidated in one place. While the meaningful use proposal does aim to improve EMR systems, there is still much work to be done to fully consolidate records into a format that is accessible to patients. ORGANIZATIONS ADDRESSING THE PROBLEM Many organizations have addressed the problem of EMR integration and access for patients. CMS is just one organization that aims to increase utilization of EMR systems to make health information more accessible. The Patient
In today’s society, the accuracy of health information, the availability of health records, and the professional resources in which one live are vital in decision making for health conditions. Meaningful Use (MU) is a program developed by CMS Medicare and Medicaid that awards, incentives in the health care industry in which the certified electronic health records (EHRs) are used to improve patient care (Practice Fusion, 2016). These incentives are for professionals that care for about 30% of their adult patient volume or 20% of their children’s volume for Medicare and Medicaid patients (CMS, 2016). In addition, adjusting from paper charts to electronic charts of patient’s information is beneficial for MU. Furthermore, the American
In a healthcare world that operates on stringent budgets and margins, we begin to see the need for a higher capacity healthcare delivery system. This in turn puts pressure on the healthcare organizations to ensure higher standards of patient care, and compliance with the reform provisions. However, these are the harsh realities of today’s healthcare environment, a setting in which value does not always equal quality. The use of technology can help to amend some of this by providing higher capacity care without compromising quality; this can be done with the use of such technology as electronic health records (EHRs). This paper will aim to address how EHRs influence healthcare today by expanding upon topics such as funding sources, reimbursement methods, economic factors, socioeconomic factors, business influences, and cost containment.
The American Recovery and Reinvestment Act (ARRA) of 2009 identified three main components of meaningful use: the use of a certified EHR in a meaningful manner, electronic exchange of health information to improve quality of care, and the use of technology to submit clinical outcomes and quality measures (Heath Resources and Service Administration, n.d.). ARRA includes many measures to modernize our nation’s infrastructure, with the “Health Information Technology for Economic and Clinical Health (HITECH) Act” being an example. The HITECH Act is an effort led by Centers for Medicare and Medicare Services (CMS) in support of electronic health records and meaningful use (Centers for Disease Control and Prevention, CDC 2016). According to Galbraith (2013), the HITECH Act aims to promote the use of EHRs by providing over $27 billion in monetary incentives for health care providers that become “meaningful users”. CMS uses these core objectives to determine if a health care provider has satisfied meaningful use and is eligible to receive financial incentives (Galbraith, 2013).
This Stage 1 started from 2011-2012, its objective dealt with data capture and sharing, these sheets are providing these services to assist professionals and hospitals understand the requirements of each objective and demonstrate meaningful use success. This stage also allows qualified providers to receive their payment after fulfilling nine core objectives and one public health objective. The second stage of the Meaningful Use is Stage 2 started in 2014; it dealt with the advanced clinical processes. This Stage introduces new aims and measures, as well as higher entries; it also required health care providers to prolong EHR capabilities to a greater portion of their patient populations. The last stage of the Meaningful Use is Stage 3, this Stage it still in a building phase. Its objective will be focusing on improving quality, safety, efficiency, and leading to improved outcomes. Even though the details of this program have not been finalized, Meaningful Use Stage 3 will work to make the program easier to understand. It will provide the professionals (EPs) and hospitals the ability to exchange and use information between electronic health records, and improve patient outcomes. Based on the current timeline, healthcare providers have the choice to begin Stage 3 Meaningful Use in 2017 but are not permitted to use it until
The American Recovery and Reinvestment Act made an investment in the year 2009 to encourage the adoption and implementation of the electronic health records (EHRs)(Cite). EHRs incentive payments were authorized through Medicare and Medicaid to clinicians and hospitals when they privately and securely used EHRs for achieving improvements in care delivery by the Health Information Technology for Economic and Clinical Health Act (HITECH). The healthcare organizations are expected to demonstrate meaningful use of EHRs. This rule of meaningful use has been implemented to strike a balance between acknowledging the urgency of adopting EHRs for improving the healthcare system and identifying the challenges that would be put forth
In 2009, the Health Technology for Electronic and Clinical Health Act (HITECH) of 1996 was expanded. This expansion included mandated guidelines for health care systems in the Unites States to continue implementing of Electronic Health Records (EHR) in health care settings by 2016 and added a provision to improve protection of patient health information through privacy and security Turk (2015) . The implementation of this program has created a debate in the medical community. In addition, many healthcare organizations and institutions have conducted research studies and surveys to evaluate the effects of the EHR on documentation of care and other aspects of the EHR. Challenges surrounding the HER include, the cost of implementing EHR’s, time spent performing documentation, and patient outcomes and safety and security concerns. Let’s further delve into a few of these challenges.
Meaningful Use engages patients and families in their health care, improve care coordination, improve population and public health and maintain privacy and security ("CMS," 2015, para. 1). Healthcare providers must show CMS that they are using their EHRs in ways that can positively affect the care of their patients. To do this, providers must meet all of the requirements established by CMS for this program and be able to demonstrate Meaningful Use of their EHRs to receive incentive reimbursement. The Meaningful Use program is divided into 3 stages which span 2011 (data capture and sharing), 2013 (advanced clinical processes) and 2015 (improved outcomes).
The federal requires the healthcare organizations to adopt and demonstrate the use of electronic medical records (EMR) or the electronic health records (EHR). They contain patient’s medical history and it
Health Information Technology has increased efficiency; medical breakthroughs have increased life expectancy, cures, and improved preventive care. Benefits of EMR’s are the opportunities for improving health care efficiency, safety, health benefits and net savings, reducing hospital lengths of stay, nurse’s administrative time drug usage in hospitals and drug and radiology usage in the outpatient setting (Takvorian,2007). EMR’s will assist with research and quality improvement leading to rapid advancement in personalized medicine. It helps patients become more involved in their care (Takvorian, 2007).
The use of technology can be seen everywhere in the world today. One area which has seen a big push to add technology is the healthcare industry. Healthcare has now progressed to the age of electronic health records (EHR). The purpose of this paper is to discuss the evolution of the EHR, including the EHR mandate and the role of the Affordable Care Act in this mandate. It will discuss the EHR plan at Hackettstown Medical Center (HMC) to include the progress HMC has made with the mandate. This paper will discuss meaningful use and HMCs status with meaningful use. Lastly, the paper will define the Health Information Portability and Accountability Act (HIPAA) and what HMC is doing to prevent HIPAA violations.
Stage 2 enables patients to view online, download, and transmit their health information within 36 hours of discharge from a hospital and within 4 business days after visiting a physician. Also, providers through secure electronic messaging can communicate with a patient on relevant health information; therefore, data exchange helps to reduce duplications (Rinehart-Thompson, 2013, p. 13). “Meaningful Use Stage 3 will aim to simplify the program, drive interoperability between electronic health records, and improve patient outcomes” Based on the current timeline, providers have the option to begin Stage 3 Meaningful Use in 2017, but are not required until 2018” (Meaningful Use knowledge hub,
Meaningful Use is a Centers for Medicare and Medicaid Services (CMS) program that awards incentives to eligible professionals (EP) and hospitals for using electronic health records (EHR) to improve patient care. This paper will provide an overview of the core criteria providers must follow to effectively use the EHR to qualify for the incentives and avoid penalties. The Meaningful Use criteria is implemented in three stages over five years to improve healthcare outcomes. This paper also explores the implementation of meaningful use in health information and how it has directly affected nursing, the nation’s public health, patient outcomes, and population health. Benefits of EMRs are improved patient care and coordination, quality of care and patient safety, improved efficiency and productivity, and financial savings.
Electronic medical records can benefit patients in many ways. One major way it can benefit a patient is the efficiency of the records being organized and easy for any practitioner or staff member to read. EMR can lower the risks of
Electronic health records (EHR’s) have many advantages, but there are plenty of disadvantages. EHR’s were created to manage the many aspects of healthcare information. Medical professionals use them daily and most would feel lost without it. Healthcare organizations were encouraged to adopt EHR’s in 2009 due to the fact that a bill passed known as The Health Information Technology for Economic and Clinical Health Act (HITECH Act). “The HITECH Act outlines criteria to achieve “meaningful use” of certified electronic records. These criteria must be met in order for providers to receive financial incentives to promote adoption of EHRs as an integral part of their daily practice”, (Conrad, Hanson, Hasenau & Stocker-Schneider, 2012).
Electronic medical records had a great impact in the ushering in of the age of Nursing Informatics. (Himss, 2010)EMRS present healthcare professionals with the ability to retrieve and organize data in a quick and efficient approach. With information so readily available, patient safety increases and we know that patient cost goes down. This happens because patient medications, allergies, history, demographic, and treatment information is more collectively available.